(PHOTO: Workers set up camp at Santiago's Rio Mapocho/Mason Bryan, The Santiago Times)Chile nears 1 month without mail service as postal worker protests continue. This week local branches of the 5 unions representing Correos de Chile voted on whether to continue their strike into a 2nd month, rejecting the union's offer. For a week the workers have set up camp on the banks of Santiago's Río Mapocho displaying banners outlining their demands; framing the issue as a division of the rich & the poor. The strike’s main slogan? “Si tocan a uno, nos tocan a todos,” it reads - if it affects 1 of us, it affects all of us. (Read more at The Santiago Times)

WHO convenes emergency talks on MERS virus

(PHOTO: Saudi men walk to the King Fahad hospital in the city of Hofuf, east of the capital Riyadh on June 16, 2013/Fayez Nureldine)The World Health Organization announced Friday it had convened emergency talks on the enigmatic, deadly MERS virus, which is striking hardest in Saudi Arabia. The move comes amid concern about the potential impact of October's Islamic hajj pilgrimage, when millions of people from around the globe will head to & from Saudi Arabia. WHO health security chief Keiji Fukuda said the MERS meeting would take place Tuesday as a telephone conference & he told reporters it was a "proactive move". The meeting could decide whether to label MERS an international health emergency, he added. The first recorded MERS death was in June 2012 in Saudi Arabia & the number of infections has ticked up, with almost 20 per month in April, May & June taking it to 79. (Read more at Xinhua)

LINKS TO OTHER STORIES

Dreams and nightmares - Chinese leaders have come to realize the country should become a great paladin of the free market & democracy & embrace them strongly, just as the West is rejecting them because it's realizing they're backfiring. This is the "Chinese Dream" - working better than the American dream. Or is it just too fanciful? By Francesco Sisci

The South: Busy at the polls - South Korea's parliamentary polls will indicate how potent a national backlash is against President Lee Myung-bak's conservatism, perceived cronyism & pro-conglomerate policies, while offering insight into December's presidential vote. Desire for change in the macho milieu of politics in Seoul can be seen in a proliferation of female candidates. By Aidan Foster-Carter

Pakistan climbs 'wind' league - Pakistan is turning to wind power to help ease its desperate shortage of energy,& the country could soon be among the world's top 20 producers. Workers & farmers, their land taken for the turbine towers, may be the last to benefit. By Zofeen Ebrahim

The war to bring malaria to heel has made slow but steady progress during the past decade, with the overall mortality rate dropping by more than 25% since 2000. A key factor in this progress has been improved control of mosquitoes, which transmit the Plasmodium parasite — a potent killer that claimed an estimated 655,000 lives in 2010 alone. But health officials fear that the spread of insecticide-resistant mosquitoes could bring about a resurgence of the disease. To help combat this threat, on May 15, the World Health Organization (WHO), based in Geneva, Switzerland, issued a strategic plan to curb the spread of resistance.

Such failures could reverse the recent drop in malaria mortality credited to insecticide spraying in the home and coating of bed nets, which save about 220,000 children’s lives each year, according to the WHO. Insecticide resistance could also result in as many as 26 million further cases a year, the organization predicts, costing an extra US $30 million to $60 million annually for tests and medicines.

Health authorities in Somalia, Sudan and Turkey have also reported sporadic resistance to the two other classes of insecticides recommended by the WHO for safe and effective household spraying: carbamates and organophosphates. Resistance has probably evolved several times independently, and is now spreading as extensive use of pyrethroids and other insecticides favors resistant mosquitoes. “In 2004, there were pockets of resistance in Africa, and now there are pockets of susceptibility,” says Janet Hemingway, chief executive of the Innovative Vector Control Consortium (IVCC), a product-development partnership based in the United Kingdom.

(MAP: Global malaria map, 2012/WHO) Among other things, the WHO recommends rotating the classes of pesticides used to spray houses, and developing safe and effective non-pyrethroid insecticides that can be used to treat bed nets. To implement all of the WHO’s suggestions would cost $200 million - on top of the $6 billion that the WHO requested last year to fund existing malaria-control programs. Rob Newman, director of the Global Malaria Program at the WHO, hopes that the report will draw more funds to the table as donors grasp the situation. “If we can stop pyrethroid resistance from spreading, it will be cheaper in the long run,” Newman says.

“In 2004, there were pockets of resistance in Africa, and now there are pockets of susceptibility.”

But the two largest players in malaria aid - the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the US President’s Malaria Initiative (PMI) - have not yet pledged additional money to fight resistance. Their spending on mosquito control is already high - in 2009, 39% of the Global Fund’s malaria expenditures went towards insecticide-treated bed nets and household spraying, as did 59% of the PMI’s in 2010.

For now, pyrethroids are the only class of insecticides approved by the WHO for bed nets, and where spraying is concerned they are less costly than the alternatives. Vestergaard Frandsen, a company based in Lausanne, Switzerland, says that it has in the pipeline a bed net coated with a non-pyrethroid insecticide - one that does not belong to any of the four WHO-approved classes - and that the company expects to bring this to market within the next five years. It is also one of several companies partnering with the IVCC to create innovative mosquito-control products.

(PHOTO: Malaria `home test'/NoProphalactics)In the meantime, health officials may be able to keep malaria at bay by swapping insecticides. The report notes that in Colombia, for instance, mosquitoes regained susceptibility to pyrethroids after five years of treatment with an organophosphate. But some African countries lack the surveillance needed to spur such an approach. To address that deficiency, the report urges that a global database be set up to track the spread of resistance, and that entomologists be trained and hired at surveillance stations. That could prove the most challenging goal of all.

“Nobody wants to fund capacity building,” says Newman. “Donors would rather say they purchased $10,000 in bed nets than pay a salary.”

African ministers of health realize the need to manage resistance but can’t do much without outside funds, explains Maureen Coetzee, a medical entomologist at the University of the Witwatersrand in Johannesburg, South Africa. “In some countries, malaria control means one person sitting in one room, and he’s lucky if he’s got a chair,” she says.

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HUMNEWS: CLOSING THE GEOGRAPHIC GAP IN MEDIA. Human Media, 2012.
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